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3830 <br />Village Permit <br />1 <br />1' <br />Contractor �� L ''fi ''L �'� ` Addres ��— <br />Owner Address <br />State License No. Vill-ige License No <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date _ //-- 1- �- ' -7 J <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Water Meter: <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: <br />Install Water Supply Systems: <br />Fee S <br />Fee S <br />Fee S <br />Fee S % C' t? 0 <br />Fee S <br />Fee S <br />Install Sewer Hookup Fee S <br />i <br />State Surtax: Fee S .J <br />Signature of applicant <br />Signature of Village Official <br />Total Amount Paid to Village........... Fee S <br />